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LAINA E CROWTHERS MD
NPI 1215953716
Obstetrics & Gynecology in Providence, RI

Active since July 15, 2006PECOS Enrolled
695 EDDY ST, SUITE 21, PROVIDENCE, RI 02903(401) 272-1550(401) 421-8792 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Laina E Crowthers Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAINA E CROWTHERS MD (NPI 1215953716) is an individual obstetrics & gynecology provider in Providence, Rhode Island, licensed in Rhode Island (MD11231) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215953716
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLAINA E CROWTHERSCredential: MD
Location Address695 EDDY ST, SUITE 21Providence, RI 02903-4941
Mailing Address695 Eddy St, Suite 21Providence, RI 02903-4941 · (401) 272-1550 · Fax (401) 421-8792
Phone(401) 272-1550
Fax(401) 421-8792
Sole ProprietorNo
Enumeration DateJuly 15, 2006
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1215953716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in RI · MD11231
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
695 EDDY ST, Providence, RI 02903
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laina E Crowthers Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Laina Crowthers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Physicians LLC
0.3 mi
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
92%865 patients4/55-star benchmark: 93%
Cervical Cancer Screening
93%1,768 patients4/55-star benchmark: 98%
e-Prescribing
97%713 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
32%2,077 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%2,599 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 63% · 2,082 patients
Patients screened: 67% · 2,082 patients
15%84 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%824 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD RAMOS MD
Obstetrics & Gynecology
695 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 272-1550
MRS. CAROLYN V HOPKINS CNP
Nurse Practitioner (Women's Health)
695 EDDY ST, SUITE 21
PROVIDENCE, RI 02903
Providence County (401) 272-1550
M. DAVID BEITLE, M.D., INC
Obstetrics & Gynecology
695 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 274-1533
ANN HOLDREDGE CNP
Nurse Practitioner (Women's Health)
695 EDDY ST, SUITE 21
PROVIDENCE, RI 02903
Providence County (401) 272-1550
FRED BROSCO MD
Obstetrics & Gynecology
695 EDDY ST, SUITE 21
PROVIDENCE, RI 02903
Providence County (401) 272-1550
SOUTHERN NEW ENGLAND HEALTHCARE FOR WOMEN
Obstetrics & Gynecology
695 EDDY ST, SUITE 21
PROVIDENCE, RI 02903
Providence County (401) 272-1550
MICHELE GANGE MD
Obstetrics & Gynecology
695 EDDY ST, SUITE 21
PROVIDENCE, RI 02903
Providence County (401) 272-1550
DR. BEATA ELZBIETA DIZOGLIO M.D.
Obstetrics & Gynecology
695 EDDY ST, SUITE 21
PROVIDENCE, RI 02903
Providence County (401) 272-1550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laina Crowthers's NPI number?

The NPI number for Laina Crowthers is 1215953716. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Laina Crowthers located?

Laina Crowthers practices at 695 Eddy St Suite 21, Providence, RI 02903. The listed phone number is (401) 272-1550.

What is Laina Crowthers's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Laina Crowthers enrolled in Medicare?

Yes. Laina Crowthers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laina Crowthers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laina Crowthers reassigns Medicare benefits to Affinity Physicians LLC (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laina Crowthers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Laina Crowthers was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.